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Individual

IVELISSE M. RAMOS VEGA

Active
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Individual

IVELISSE M. RAMOS VEGA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
103TA0400X
Addiction (Substance Use Disorder) Psychologist
103TB0200X
Cognitive & Behavioral Psychologist
103TF0000X
Family Psychologist
103TP2701X
Group Psychotherapy Psychologist
106S00000X
Behavior Technician
Primary
RBT-23-289888
TX

Other

Enumeration date
03/22/2021
Last updated
08/31/2023
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